Combination of hyperhomocysteinemia and ischemic tolerance in experimental model of global ischemia in rats
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Updated: Mar 27, 2026

2-Vessel Occlusion/Hypotension: A Rat Model of Global Brain Ischemia
Published on: June 22, 2013
M Kovalska1, L Kovalska2, B Tothova3
1Institute of Histology and Embryology, Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia.
Insights
Mild-to-moderate hyperhomocysteinemia (hHcy) worsens brain damage from ischemia. However, ischemic preconditioning (IPC) can protect brain tissue, even with hHcy, by modulating MAPK signaling pathways.
Area of Science:
- Neuroscience
- Biochemistry
- Pathology
Background:
- Mild-to-moderate hyperhomocysteinemia (hHcy) is linked to increased cerebrovascular disease risk.
- Hyperhomocysteinemia is a known risk factor for brain ischemia.
- The interplay between hHcy, ischemic preconditioning (IPC), and ischemia-induced neurodegeneration is not fully understood.
Purpose of the Study:
- To investigate the effects of hHcy alone and in combination with IPC on ischemia-induced neurodegeneration in rat brains.
- To analyze the impact of hHcy and IPC on MAPK/p-ERK1/2 and MAPK/p-p38 expression following brain ischemia.
- To elucidate the role of MAPK signaling pathways in the context of hHcy and ischemic brain injury.
Main Methods:
- Hyperhomocysteinemia (hHcy) was induced in rats via homocysteine administration.
- Ischemic preconditioning (IPC) was applied, followed by global forebrain ischemia (four-vessel occlusion).
- Neurodegeneration was assessed using Fluoro-Jade C and TUNEL staining; MAPK signaling was analyzed via Western blot and immunohistochemistry.
Main Results:
- hHcy alone significantly increased neurodegeneration in the hippocampus and cortex.
- hHcy altered MAPK signaling, elevating p-ERK and decreasing p-p38 levels post-ischemia.
- IPC, even in the presence of hHcy, demonstrated a neuroprotective effect against lethal ischemic damage.
Conclusions:
- IPC can preserve neuronal tissue from severe ischemic injury, even in rats with hyperhomocysteinemia.
- ERK and p38 MAPK signaling pathways are tightly integrated and play crucial roles in responding to hHcy and brain ischemia/IPC challenges.
- This study highlights the potential of IPC as a therapeutic strategy for ischemic brain injury, particularly in individuals with elevated homocysteine levels.
Abstract:
Epidemiological studies show positive relationship between mild-to-moderate hyperhomocysteinemia (hHcy) and the risk of cerebrovascular diseases. The study determines whether hyperhomocysteinemia (risk factor of brain ischemia) alone or in combination with the ischemic preconditioning (IPC) affects the ischemia-induced neurodegenerative changes and imbalance in MAPK/p-ERK1/2 and MAPK/p-p38 expression in the rat brains. hHcy was induced by subcutaneous administration of homocysteine (0.45 μmol/g body weight) twice a day at 8 h intervals for 14 days. Rats were preconditioned by 5 min ischemia and 2 days later, 15 min of global forebrain ischemia was induced by four vessel occlusion. We observed that hHcy alone significantly increased neurodegeneration by Fluoro-Jade C and TUNEL possitive cells in hippocampus as well as in cortex. We found elevated level of MAPK/p-ERK and decreased level of MAPK/p-p38 after pre-ischemic challenge by Western blot and fluorescent immunohistochemistry. In conclusion, preconditioning even if combined with hHcy could preserve the neuronal tissue from lethal ischemic effect. This study provides evidence for the interplay and tight integration between ERK and p38 MAPKs signalling mechanisms in response to the hHcy and also if in association with brain ischemia/IPC challenge in the rat brain.
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